Rasmussen's aneurysm is a very uncommon condition occurring in post-pulmonary tuberculosis patients. We are presenting a case of a young male patient with the chief complaints of hemoptysis, breathlessness on exertion, cough with expectoration and fever, and weight loss. A thorough radiological examination revealed multiple cavitary lesions, bronchiectasis, tree-in-bud appearance and pulmonary nodules, and areas of air-spaced opacities, indicating a likely diagnosis of post-primary pulmonary tuberculosis with stages of active infection and healed infection. The post-contrast study revealed a well-defined dilated vascular channel arising from a branch of the right pulmonary artery indicating pseudo-aneurysm formation, i.e., Rasmussen's aneurysm, within a large cavity in the right middle lobe. The patient underwent emergency trans-arterial embolization successfully and he was stable postoperatively.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270097 | PMC |
| http://dx.doi.org/10.7759/cureus.25740 | DOI Listing |
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View Article and Find Full Text PDFArticle Synopsis
- Rasmussen aneurysm is a rare complication of tuberculosis that leads to coughing up blood, affecting only about 0.007% of people.
- The case report emphasizes the effectiveness of conservative treatment for patients who are stable and not in immediate danger.
- This approach is especially important in areas with limited medical resources where advanced treatments like endovascular embolization are not readily available.
Article Synopsis
- - Rasmussen aneurysm is a serious condition that can develop in tuberculosis patients, involving an aneurysm of a pulmonary artery next to a tuberculous cavity.
- - This condition can cause sudden or severe bleeding from the lungs, known as hemoptysis, which is a medical emergency.
- - Quick diagnosis and treatment, typically through a procedure called endovascular embolization, are crucial to prevent life-threatening complications.
Rasmussen aneurysm: A hidden hazard.
Respir Med Case Rep
November 2024
Department of Cardiothoracic Surgery, Aga Khan University Hospital, Pakistan.
Tuberculosis is endemic in Pakistan and other countries in South Asia despite various treatment programs being introduced for its elimination. It leads to a number of serious consequences which involve different organ systems of the body and Rasmussen Aneurysm is one such serious complication. It is the pseudo-aneurysmal dilatation of the pulmonary artery adjacent to a tubercular cavity and manifests as massive hemoptysis, like in the case of our patient.
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